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KEVIN WEAVER JR. M.D.
NPI 1225492929
Pediatrics in Little Rock Air Force Base, AR

Active since April 08, 2016PECOS Enrolled
1090 ARNOLD DR, LITTLE ROCK AIR FORCE BASE, AR 72099(501) 987-3080 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 11, 2024, Aug 10, 2022, Jul 24, 2019 (3 updates tracked since 2019).

About Kevin Weaver Jr. M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN WEAVER JR. M.D. (NPI 1225492929) is an individual pediatrics provider in Little Rock Air Force Base, Arkansas, licensed in Arkansas (E-12260) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225492929
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameKEVIN WEAVER JR.Credential: M.D.
Location Address1090 ARNOLD DRLittle Rock Air Force Base, AR 72099-4933
Mailing Address1090 Arnold DrLittle Rock Air Force Base, AR 72099-4933 · (501) 987-3080
Phone(501) 987-3080
Sole ProprietorNo
Enumeration DateApril 8, 2016
Last NPPES UpdateJuly 11, 20243 updates tracked since enumeration
NPPES CertifiedJuly 11, 2024
✔ NPI 1225492929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in AR · E-12260
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1090 ARNOLD DR, Little Rock Air Force Base, AR 72099
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin Weaver Jr. M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Kevin Weaver reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Arkansas Childrens Hospital
12 mi
Pediatrics
1 CHILDRENS WAY # 664
Little Rock, AR 72202
  • Reassigned Medicare billing, Arkansas enrollment
  • 944 clinicians in this Medicare group
NPI 1598773079 (501) 364-2526
University Of Arkansas For Medical Sciences
13 mi
Psychologist
1 CHILDRENS WAY # 653
Little Rock, AR 72202
  • Reassigned Medicare billing, Arkansas enrollment
  • 1,246 clinicians in this Medicare group
NPI 1114255353 (501) 364-1100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72099 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELRITA MAECHEL JOHNSON LCSW
Social Worker (Clinical)
1090 ARNOLD DR
LITTLE ROCK AFB, AR 72099
Pulaski County (501) 987-3080
MRS. TANYA NASHEL MILLER ADC
Counselor (Addiction (Substance Use Disorder))
1090 ARNOLD DR
JACKSONVILLE, AR 72099
Pulaski County (501) 987-7338
COURTNEY MCCULLEY PHARMD.
Pharmacist
1090 ARNOLD DR
LITTLE ROCK AFB, AR 72099
Pulaski County (501) 987-7446
DR. SHARIFA FREIGHTMAN PH.D.
Psychologist (Clinical)
1090 ARNOLD DR
LITTLE ROCK AIR FORCE BASE, AR 72099
Pulaski County (501) 987-3080
CARA D ROTH LCSW
Social Worker (Clinical)
1090 ARNOLD DR
LITTLE ROCK AFB, AR 72099
Pulaski County (501) 987-8811
KELLY LAWRENCE BSN, RN
Registered Nurse (Case Management)
1090 ARNOLD DR
LITTLE ROCK AIR FORCE BASE, AR 72099
Pulaski County (501) 987-8811
TAYLOR FLESHMAN RD
Dietitian, Registered
1090 ARNOLD DR
LITTLE ROCK AIR FORCE BASE, AR 72099
Pulaski County (501) 987-2708
MARY EILEEN KELLY
Dental Hygienist
1090 ARNOLD DR
LITTLE ROCK AFB, AR 72099
Pulaski County (501) 987-7304

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Weaver's NPI number?

The NPI number for Kevin Weaver is 1225492929. It was assigned to this individual provider in the NPPES registry on April 8, 2016.

Where is Kevin Weaver located?

Kevin Weaver practices at 1090 Arnold Dr, Little Rock Air Force Base, AR 72099. The listed phone number is (501) 987-3080.

What is Kevin Weaver's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kevin Weaver enrolled in Medicare?

Yes. Kevin Weaver is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kevin Weaver's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Weaver reassigns Medicare benefits to 2 organizations: Arkansas Childrens Hospital (Little Rock, AR) and University Of Arkansas For Medical Sciences (Little Rock, AR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Weaver's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kevin Weaver was last updated on July 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.